Root Camp Lecture 11 - Rubber Dam Isolation

Question 1

Rubber dams provide a dry, clean, relatively _________ operating field minimizing risk of microbial contamination

Answer 1

aseptic

Question 2

Rubber dams protect from _________ of tooth debris, restorative materials, and instruments

Answer 2

aspiration

Question 3

Rubber dams protect _______ _________ from irrigating solutions and medications used during tx

Answer 3

soft tissues

Question 4

Rubber dams ________ soft tissue improving visibility and efficiency

Answer 4

retract

Question 5

Rubber dams reduce _________ and potential transmission of systemic diseases

Answer 5

aerosols

Question 6

T/F: Aspiration and/or ingestion of endo files represent an emergency event

Answer 6

True

Question 7

When does aspiration and/or ingestion most commonly occur?

Answer 7

During X-Rays or as result of rubber dam dislodgement

Question 8

T/F: There are no disadvantages to rubber dams

Answer 8

True

Question 9

How many bacterial species have been identified in the oral microbiome?

Answer 9

700+

Question 10

How many viable microorganisms per mL of saliva?

Answer 10

1 billion

Question 11

Rubber dam frames should be _____________, especially because X-Rays are expected during tx

Answer 11

radiolucent

Question 12

Which rubber dam colors are better because it provides more contrast?

Answer 12

Dark

Question 13

Which rubber dam thickness is ideal?

Answer 13

Medium (0.2)

Question 14

Rubber dam isolation of multiple teeth requires _____________ retention

Answer 14

interproximal

Question 15

What helps to reduce or eliminate persistent salivary leakage or interproximal hemorrhagic oozing into the pulp chamber?

Answer 15

Opal dam

Question 16

T/F: It is unnecessary to remove rubber dam and frame when obtaining images

Answer 16

True

Question 17

What is technique 1 for rubber dam placement?

Answer 17

Frame + rubber dam + clamp

(used only on clamps with wings)

Question 18

What is technique 2 for rubber dam placement?

Answer 18

Frame + rubber dam, then clamp

Question 19

What is technique 3 for rubber dam placement?

Answer 19

Clamp, then frame + rubber dam

Question 20

Which techniques can be used for clamps with wings?

Answer 20

1 and 2 (anterior and posterior)

Question 21

Which techniques can be used for wingless clamps?

Answer 21

2 and 3 (posterior)
2 (anterior)

Question 22

What should be used to disinfect the surgical field after rubber dam placement?

Answer 22

2% CHX or alcohol

Question 23

What rubber dam techniques can be used in atypical situations?

Answer 23

Split dam technique
Opal dam
Crown lengthening
Cotton rolls

Question 24

When is cotton roll isolation indicated?

Answer 24

Initial exam
Emergency care (necrotic teeth)
Coronary reconstruction

Question 25

What are the disadvantages of cotton roll isolation?

Answer 25

Doesn't prevent solutions from reaching oral cavity Doesn't prevent accidents Doesn't promote soft tissue retraction and protection

Question 26

T/F: Never perform endo tx w/o absolute isolation

Answer 26

True

Question 27

The clamp must be the same size or slightly _________ than the tooth's neck

Answer 27

smaller

Question 28

Which tooth should have the clamp on it?

Answer 28

The tooth getting endo tx

Question 29

Ideally, the clamp should be placed on tooth structure, __________ to the coronal contour

Answer 29

apical

Question 30

The bow of the clamp should be toward the _______ on posterior teeth

Answer 30

distal